resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Employing the Whole Person Approach to Massage
I was reminded again of the need to address aspects of a condition that might not be immediately apparent when one of my aromatherapy students called me for advice about which essential oils to use for her teenage son. He had been in a serious, head-on car collision and had not been sent to the hospital by responding officers. They had apparently thought the behavior caused by his concussion might instead be drug or alcohol related (they weren't). When a mother's instinct led my student to take her son to the ER, doctors found there was serious trauma to the head, neck, shoulders and upper spine. They also said his concussion required 24 hour observation. Now, he was coming home and she worried that she might not be able to help him relieve his symptoms by only using lavender oil. Her immediate thought was about the pain and his difficulty sleeping.
As she spoke, I realized she was also angry and in shock, just like her son was likely to be. After all, going home to sleep instead of getting to the hospital could have led to serious repercussions to his health. I was not being called upon for massage services, but at some point this boy would certainly be in the capable hands of a massage therapist to help address the muscular-skeletal situation. And if the massage therapist wanted to get powerful results, they would want to consider this whole situation, just as I did now. Doing this meant that, along with choosing sedative and anti-inflammatory essential oils, I would include those essences that would address emotional shock, tension, and anger. In order to do this, knowledge of what is called the "subtle" properties of essential oils is necessary.
Shock, as an acute stress reaction, is a psychological condition. It happens in response to intensely traumatic events and affects the sympathetic division of the autonomic nervous system. At first, the person may appear to be in a daze or unresponsive to the reality of the situation. That state will move toward the observable physiological symptoms, including agitation, hyperactivity, anxiety, impaired judgement, confusion, detachment, and depression. Tachycardia, sweating and pallor may also be present. While some of the more obvious signs of shock can disappear within several days, we now know that post traumatic shock syndrome (PTSD) can last a lifetime, taking the form of "panic attacks" or more severe depression, and even violent behavior, to self or others.
Addressing shock as soon as possible seems advisable. I suggested that to a pain relieving, anti-inflammatory and sleep promoting blend of lavender (Lavandula angustifolia), sweet marjoram (Origanum majorana), and Roman chamomile (Anthemus nobilis), my student should add neroli (Citrus aurantium var. amara), and/or ylang ylang (Cananga odorata) to counteract shock, and patchouli (Pogostemon cablin) to create a feeling of grounded stability in the body. To augment the grounding properties and specifically address anger, myrrh (Commiphora myrrha) could be included. If myrrh or patchouli were not available, atlas cedarwood, (Cedrus atlantica) could substitute. It brings strength and confidence during stressful times, and the Roman chamomile would work on the anger aspect. If cost is an issue, ylang ylang is a less expensive flower essence than neroli. However, neroli also brings spiritual connection and only a drop is needed to bestow the subtle effect. This blend would be used in diffusion, so it would help both mother and son. Any of the ingredients could be added later to carrier oil for massage. As time goes on, this blend should be adjusted when different emotions or physical needs appear.
Adding the subtle properties of an essential oil to the consideration of a blend is a way to treat the whole person. Doing so augments the desired outcome for all clients, not just those suffering from traumatic events. Because it can take time to learn these aspects of essential oils, I recommend several books for reference to have in the library. (The Complete Guide to Aromatherapy, by Salvatore Battaglia includes subtle effects in the descriptions of oils. Another good resource for subtle properties is Aromatherapy for Healing the Spirit by Gabriel Mojay.) Eventually, after using them for this purpose, the subtle properties will spring to mind automatically.
Author's Note: Farewell to Readers
With an article on my favorite aspect of aromatherapy – the way it is used to benefit the whole person, body, mind and spirit – I am taking my leave as a columnist Massage Today. For fourteen years, I've been privileged to write these articles. I am grateful that I have been able to provide the knowledge and experience of an independent, professional aromatherapist and convey the resources I have come to know and trust. In an age of increasing Internet publications that often fall, sometimes dangerously short of reality and safe practice, this is even more important. Over the years, I have offered the best of my own experience and information, and enjoyed a wonderful relationship with both readers and my excellent editors, past and present. But now, it is time to pass the baton on to a younger generation to receive their insights and wisdom.